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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5065 U. S. DEPARTMENT OF LABOR NOT TO BE FILLED IN BY ALIEN FOR USE OF OFFICIALS SEARCHING IMMI- NATURALIZATION SERVICE GRATION RECORDS CLERK OF COURT: RECORDS EXAMINED Place number in CARD INDEX upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS declaration number. DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS I desire. to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. / antonio celluci ; age, 4546 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is maron My personal description is: Color, white complexion, Dark 41/2 ; height, 5 feet 5 inches; weight, 164 pounds; color of hair, Brown dark ; color of eyes, brown Dark blue A ; other visible distinctive marks: sear on face noseand moleson face I was born in Santo Donato, (City town) Val Di Comino (Country) Italy or on the 27th day of January , 881 My present residence is 131 Month Morwich NewrLondon Conn. (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was on march 1st 1895 napler Italy (Month) (Day) (Year) The name of the ship or railroad on which I came was Heulta My last place of foreign was residence said lanto Donata (City or town) (Country) Italy wife I am married. The name of my is Maria cellacci She - husband } was born at , and now resides said at 131 north It He I am now a subject of and intend to renounce allegiance to The (Write king and title of sovereign of and country Italy of which name now a subject; or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of new (City town) York or new (State, York or territory) , on march 14th 1895 14-8 (Give exact month, day, and year) (OVER)

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382
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Document data

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Core
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Type
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5065\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire. to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nantonio celluci\n; age,\n4546 years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nmaron\nMy personal description is: Color, white complexion, Dark\n41/2\n; height, 5 feet 5 inches;\nweight, 164 pounds; color of hair, Brown\ndark\n; color of eyes,\nbrown Dark blue\nA\n;\nother visible distinctive marks:\nsear on face noseand moleson face\nI was born in Santo Donato, (City town) Val Di Comino (Country) Italy\nor\non\nthe 27th day of January\n, 881\nMy present residence is\n131 Month\nMorwich NewrLondon Conn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\non march 1st 1895\nnapler\nItaly\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nHeulta\nMy last place of foreign was\nresidence said lanto Donata\n(City or town)\n(Country)\nItaly\nwife\nI am\nmarried. The name of my\nis Maria cellacci\nShe\n-\nhusband\n}\nwas born at\n, and now resides said at 131 north It\nHe\nI am now a subject of and intend to renounce allegiance to The (Write king and title of sovereign of and country Italy of which\nname now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew (City town)\nYork\nor\nnew (State, York or territory)\n, on\nmarch 14th 1895\n14-8\n(Give exact month, day, and year)\n(OVER)"
}